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The Control of Pain in the Hand

The Control of Pain in the Hand Abstract From the patient's point of view, pain is the most important symptom encountered in hand problems. Successful control of pain hinges upon an understanding of the available methods of treatment. Physicians who are actively interested in hand problems learn how to cope with pain through scattered reference material, experience, and word-of-mouth teaching. There is no satisfactory reference source to provide the general physician and surgeon, not possessing specific hand training, a broad picture of the treatment of pain in the hand so that they might acquire a practical understanding of the management of this problem. To satisfy this need, the available methods of dealing with pain in the hand are discussed here. Physical Methods Elevation. —Elevation of the hand following operation or injury has a beneficial effect upon throbbing pain by preventing vascular engorgement and dependent edema. The use of a sling should not be expected to provide sufficient elevation References 1. Barnes, R.: The Role of Sympathectomy in the Treatment of Causalgia , J. Bone Joint Surg. 35B:172-180 ( (May) ) 1953. 2. Canty, T. J., and Bleck, E. E.: Amputation Stump Pain , U.S. Armed Forces Med. J. 9:635-647 ( (May) ) 1958. 3. Fischer-Williams, M.: Treatment of Chronic Pain , Brit. Med. J. 1:533-538 ( (March 10) ) 1956.Crossref 4. Hollander, J. L.; Jessar, R. A., and Brown, E. M.: Intrasynovial Corticosteroid Therapy: A Decade of Use, Bulletin on Rheumatic Diseases, Arthritis and Rheumatism Foundation, Vol. 11, No. 5, 1961. 5. Julian, O. C.: Surgery of the Sympathetic Nervous System, with Special Reference to Vascular Disorders and Painful States , Surg. Clin. N. Amer. 34:1175-1188 ( (Aug.) ) 1954. 6. Kirgis, H. D., and Obler, E. A.: Regeneration of Pre- and Postganglionic Fibers Following Sympathectomy of the Upper Extremity , Ann. Surg. 119:201-210 ( (Feb.) ) 1944.Crossref 7. Mayfield, F. H., and Devine, J. W.: Causalgia , Surg. Gynec. Obstet. 80:631-635 ( (June) ) 1945. 8. Roussy, G., and Lhermitte, J.: Les Psychoneuroses de guerre , Paris, Masson & Cie, 1917, p. 20. 9. Russell, R. W.: Painful Amputation Stumps and Phantom Limbs , Brit. Med. J. 1:1024-1026 ( (June 11) ) 1949.Crossref 10. Shumaker, H. B.; Spiegel, I. J., and Upjohn, R. H.: Causalgia , Surg. Gynec. Obstet. 86: 76-86 ( (Jan.) ) 1948. 11. Ulmer, J. L., and Mayfield, F. H.: Causalgia: A Study of 75 Cases , Surg. Gynec. Obstet. 83:789-796 ( (Dec.) ) 1946. 12. Weinstein, E. A.; Kalia, R. L., and Bergman P. S.: Effect of Electroconvulsive Therapy on Intractable Pain , A.M.A. Arch. Neurol. Psychiat. 81:37-42 ( (Jan.) ) 1959.Crossref 13. Wetzel, N.: The Surgical Relief of Intractable Pain , Surg. Clin. N. Amer. 39:245-252 ( (Feb.) ) 1959. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Control of Pain in the Hand

Archives of Surgery , Volume 84 (5) – May 1, 1962

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References (11)

Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1962.01300230010003
Publisher site
See Article on Publisher Site

Abstract

Abstract From the patient's point of view, pain is the most important symptom encountered in hand problems. Successful control of pain hinges upon an understanding of the available methods of treatment. Physicians who are actively interested in hand problems learn how to cope with pain through scattered reference material, experience, and word-of-mouth teaching. There is no satisfactory reference source to provide the general physician and surgeon, not possessing specific hand training, a broad picture of the treatment of pain in the hand so that they might acquire a practical understanding of the management of this problem. To satisfy this need, the available methods of dealing with pain in the hand are discussed here. Physical Methods Elevation. —Elevation of the hand following operation or injury has a beneficial effect upon throbbing pain by preventing vascular engorgement and dependent edema. The use of a sling should not be expected to provide sufficient elevation References 1. Barnes, R.: The Role of Sympathectomy in the Treatment of Causalgia , J. Bone Joint Surg. 35B:172-180 ( (May) ) 1953. 2. Canty, T. J., and Bleck, E. E.: Amputation Stump Pain , U.S. Armed Forces Med. J. 9:635-647 ( (May) ) 1958. 3. Fischer-Williams, M.: Treatment of Chronic Pain , Brit. Med. J. 1:533-538 ( (March 10) ) 1956.Crossref 4. Hollander, J. L.; Jessar, R. A., and Brown, E. M.: Intrasynovial Corticosteroid Therapy: A Decade of Use, Bulletin on Rheumatic Diseases, Arthritis and Rheumatism Foundation, Vol. 11, No. 5, 1961. 5. Julian, O. C.: Surgery of the Sympathetic Nervous System, with Special Reference to Vascular Disorders and Painful States , Surg. Clin. N. Amer. 34:1175-1188 ( (Aug.) ) 1954. 6. Kirgis, H. D., and Obler, E. A.: Regeneration of Pre- and Postganglionic Fibers Following Sympathectomy of the Upper Extremity , Ann. Surg. 119:201-210 ( (Feb.) ) 1944.Crossref 7. Mayfield, F. H., and Devine, J. W.: Causalgia , Surg. Gynec. Obstet. 80:631-635 ( (June) ) 1945. 8. Roussy, G., and Lhermitte, J.: Les Psychoneuroses de guerre , Paris, Masson & Cie, 1917, p. 20. 9. Russell, R. W.: Painful Amputation Stumps and Phantom Limbs , Brit. Med. J. 1:1024-1026 ( (June 11) ) 1949.Crossref 10. Shumaker, H. B.; Spiegel, I. J., and Upjohn, R. H.: Causalgia , Surg. Gynec. Obstet. 86: 76-86 ( (Jan.) ) 1948. 11. Ulmer, J. L., and Mayfield, F. H.: Causalgia: A Study of 75 Cases , Surg. Gynec. Obstet. 83:789-796 ( (Dec.) ) 1946. 12. Weinstein, E. A.; Kalia, R. L., and Bergman P. S.: Effect of Electroconvulsive Therapy on Intractable Pain , A.M.A. Arch. Neurol. Psychiat. 81:37-42 ( (Jan.) ) 1959.Crossref 13. Wetzel, N.: The Surgical Relief of Intractable Pain , Surg. Clin. N. Amer. 39:245-252 ( (Feb.) ) 1959.

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1962

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